MR. WAYNE PAUL TAMBERELLI (NPI# 1891829156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891829156 |
| Entity Type | Individual |
| Full Name | MR. WAYNE PAUL TAMBERELLI |
| Credential | PA-C |
| Practice Address |
270 Smith Church Rd Roanoke Rapids NC 27870 |
| Mailing Address |
Po Box 640 Roanoke Rapids NC 27870-0640 |
| Practice Telephone | 2525370134 |
| Practice Fax Number | 2525376515 |
| Mailing Telephone | 2525365440 |
| Mailing Fax Number | 2525365444 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000100379 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
270 SMITH CHURCH RD |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780755215 | Isaac Henry Miller IIi | Internal Medicine | 270 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1952873861 | Ddp Pharmacy Inc | Pharmacy | 270 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2018-12-18 |
| 1598253734 | Rural Health Group, Inc. | Clinic/Center | 270 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2018-04-24 |
| 1780195321 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 270 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2017-10-23 |
| 1912078437 | Mario Grazia Fiorilli | Internal Medicine | 270 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992858278 | Billy St John Collins | Physician Assistant | 240 Smith Church Rd Ste B, Roanoke Rapids, NC 27870-4900 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
Please comment or provide details below to improve the information on MR. WAYNE PAUL TAMBERELLI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.